Acta Scientific Orthopaedics (ISSN: 2581-8635)

Case Report Volume 3 Issue 11

Effect of Neural Mobilization Techniques and Nerve Mobilization Exercise on Ulnar Nerve Entrapment Post Supracondylar Humeral Fracture. A Case Report

Ishfaq Bashir Bhat*

Department of Physiotherapy, HOSMAT College of Physiotherapy, Bangalore, India

*Corresponding Author: Ishfaq Bashir Bhat, Department of Physiotherapy, HOSMAT College of Physiotherapy, Bangalore, India.

Received: September 14, 2020; Published: October 08, 2020

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Abstract

Introduction: The purpose of this case report is to describe the role of ulnar nerve mobilization techniques on post humeral fracture entrapment of ulnar nerve in and around the healing fracture. Ulnar nerve entrapment is the second most of entrapment neuropathy in upper limb. Ulnar nerve can get entrapped in callus in supracondylar fracture.

Case Description: A 22‐year‐old male student presented to physical therapy, progressing well following supracondylar humeral fracture, sustained 8 weeks prior. During the treatment, the patient reported restricted range of motion and function, with pain. Based on signs and symptoms the patient was having ulnar nerve entrapment.

Results/Outcome: After two weeks of manual therapy (ulnar nerve gliding techniques), and a detailed home exercise program (nerve mobilization exercises and ROM), the patient returned to his normal. There was significant improvement in pain (VAS) and the post treatment McGowan score improved from grade 1 to grade 0. There was improvement in patient’s functions the patient specific functional scale (PSF) score improved from 6 to 1.

Conclusion: This case report describes the effect of neural mobilization techniques in improving ulnar nerve entrapment post supracondylar fracture of humerus. The case report demonstrates improvements and maintaining functional mobility. Based on this report the further research is warranted in this area.

Keywords: Neural Mobilization Techniques; Nerve Mobilization Exercise; Supracondylar Fracture; Humerus

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References

  1. Ramage JL., et al. “Anatomy, shoulder and upper limb”. Hand Guyan Canal (2018).
  2. Kyle Andrews., et al. “Cubital tunnel syndrome: Anatomy, clinical presentation, and management”. Journal of Orthopaedics 3 (2018): 832-836.
  3. Richard Drake., et al. “Gray's Anatomy for Students”. Fourth edition.
  4. Human Anatomy by BD Chaurasia's 7th
  5. Dianna Quan MD and Shawn J Bird MD. “Nerve Conduction Studies and Electromyography in the Evaluation of Peripheral Nerve Injuries”. The University of Pennsylvania Orthopaedic Journal 12 (1999): 45-51.
  6. T Lalanandham and WN Laurence. “Entrapment of the ulnar nerve in the callus of supracondylar fracture of the humerus”. Injury2 (1984): 129-130.
  7. Svernlov B., et al. “Conservative treatment of the cubital tunnel syndrome”. The Journal of Hand Surgery European 2 (2009): 201-207.
  8. Sahil Kooner., et al. “Conservative treatment of cubital tunnel syndrome: A systematic review”. Orthopedic Reviews 2 (2019): 7955.
  9. Richard F Ellis., et al. “Neural Mobilization: A Systematic Review of Randomized Controlled Trials with an Analysis of Therapeutic Efficacy”. The Journal of Manual and Manipulative Therapy1 (2008): 8-22.
  10. McGowan AJ. “The results of transposition of the ulnar nerve for traumatic ulnar neuritis”. The Journal of Bone and Joint Surgery British 32-B.3 (1950): 293-301.
  11. R Lancigu., et al. “Dellon’s anterior submuscular transposition of the ulnar nerve: Retrospective study of 82 operated patients with 11.5 years’ follow-up”. Chirurgie De La Main 34 (2015): 234-239.
  12. Strunce JB., et al. “The immediate effects of thoracic spine fck LR and rib manipulation on subjects with primary complaints of shoulder pain”. The Journal of Manual and Manipulative Therapy4 (2009): 230-236.
  13. Hefford C., et al. “The patient-specific functional scale: validity, reliability, and responsiveness in patients with upper extremity musculoskeletal problems”. Journal of Orthopaedic and Sports Physical Therapy2 (2012): 56-65.
  14. Horn KK., et al. “The patient-specific functional scale: psychometrics, clinimetrics, and application as a clinical outcome measure”. Journal of Orthopaedic and Sports Physical Therapy1 (2012): 30-D17.
  15. Michel W Coppieters., et al. “Incorporating nerve-gliding techniques in the conservative treatment of cubital tunnel syndrome”. Journal of Manipulative and Physiological Therapeutics9 (2004): 560-568.
  16. Deran Oskay PT., et al. “Neurodynamic Mobilization in the Conservative Treatment of Cubital Tunnel Syndrome: Long-Term Follow-Up of 7 Cases”. Journal of Manipulative and Physiological Therapeutics2 (2010): 156-163.
  17. Michel W Coppieters and David S Butler. “Do ‘sliders’ slide and ‘tensioners’ tension? An analysis of neurodynamic techniques and considerations regarding their application”. Manual Therapy3 (2008): 213-221.
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Citation

Citation: Ishfaq Bashir Bhat. “Effect of Neural Mobilization Techniques and Nerve Mobilization Exercise on Ulnar Nerve Entrapment Post Supracondylar Humeral Fracture. A Case Report".Acta Scientific Orthopaedics 3.11 (2020): 20-23.




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